SOGs 2020 REVERSE Flashcards
IC
Who’s responsibility is it to assign a safety officer?
Identify and correct safety and heath hazards
To alter,suspend, or terminate un -safe acts that involve an imminent hazard to personnel
Inform the IC of the 2 items above
All safety officers will have the authority to ?
Safety concerns for fire rescue in typical incidents
Fire behavior
Building construction
EMS
A safety office should have a working knowledge of what?
SHOULD
Only those person who have completed and approved Incident safety officer course ________ be used as a safety officer.
HWH-hazardous, Wildland, high hazard
Incident becomes so large, complex, or dangerous that reasoned safety is potentially threatened.
Hazardous or potentially hazardous environments:
Structure fires
Special operations incidents
Large multi casualty incidents
Wild land fires with 4 or more units or during extreme weather.
Any high Hazard Training:
Live burn evolutions
Smoke drills
Dive rescue
Extrication
Elevated victim rescue
above or Below grade operations
confined space rescue
A safety office shall be appointed on the following incidents?
Don appropriate vest and PPE
Ensure no entry into the hot zone as a single person
Ensure all control zones are established or adjust as necessary
Ensure exclusion zones are recognized
Rehab
Atmospheric monitoring
Remain on scene until relieved by the IC or designee
Document actions as to the incident reporting guide
any accidents injuries or unsafe acts or safety concerns should follow the CQI
Communicate with EMERGENCY TRAFFIC the exclusion zone
Once assigned to Safety officer what are the duties?
Directly to the Incident safety officer
Who do assistant safety officers report to?
To a geographical or functional area.
How are safety officers general y assigned?
Hazardous material
Dive team operations
Open water incidents
Rehab when assigned
The following incidents REQUIRE an assistant safety officer?
Lost
Trapped
Disoriented
Seriously injured
Experiencing an Air emergency
In need of immediate help
“Mayday” definition is?
Lost
Trapped
Disoriented
Seriously injured
Air emergency
‘In need of immediate help
The term “MAYDAY” should be used when ?
The MAYDAY remains on the original channel and other operations will switch .
When a “MAYDAY” is called what happens to the Tac channels?
An additional safety officer
During a “MAYDAY” the ISO should request what?
Identify an energized source so an exclusionary zone can be created
The TAC stick shall only be used to?
To identify energy sources that were not previously aware of
The ONLY useful purpose for a TAC stick is:
Detects AC current only
Provides warning in audible beeps and flashes
Warning signals increase in strength as amplitude increases
Warning signal s make it possible to locate the signal quickly
The TAC stick has 4 indicators?
Read DC current
Or pick up shielded AC voltage
The TAC stick does not?
HIGH
LOW
FRONT
The 3 sensitivities for the TAC are?
HIGH and move to lower ones later.
When using the TAC stick the user should start on which sensitivity?
Night operations and post storm area searches.
Fires
Powerlines down
During which incidents is the TAC stick particularly useful?
Engines
Aerials
Rescues
BC
EMS captain
Special ops
Atmospheric monitors are carried on which vehicles
EMS captains
Who is equipped with the drager X-am 5000 5 gas monitor
The 500o does OV monitoring for Ethylene oxide
The difference between the drager X am 2500 and 5000 is ?
O2
Flammability
CO
H2S
OV
The Drager X am 5000 monitors which substances?
IC
When an atmospheric monitor alarms who SHALL be informed?
Firefighter is actively monitoring an atmosphere to detect the presence of a leak
Investigating residential or commercial alarm activations to determine hazards
Active atmospheric monitoring is used when ?
O2
Flammability
CO
What are the common gasses between the drager atmospheric monitors
02 and 10% above
What gas and how much is required for both drager monitors to operate correctly?
O2- 21%
LEL -0%
CO- 0 PPM
H2S- 0 PPM
What are normal atmospheric conditions
1-5ppm and 60-70% of the population
H2s has an almond like Oder detectable at what levels?
Levels are safe before allowing personnel to remove SCBA during overhaul
Benefits outweigh risks with OV
Respiratory protection is used accordingly
The ISO with regards to atomospheric monitoring SHALL ensure:
OV only and 02 is normal
Half mask cartridge respirators with organic vapor filters can be used when 2 conditions apply?
Wildland fires
D/O operating at the pump panel
ISO
Post fire activities
What are Half mask cartridge respirators w/ organic vapors particularly used for?
- FF remove their respiratory protection
- Occupants to enter the structure
- Fire investigators to enter any structure
The IC or ISO shall determine if it is safe for what to happen when atmospheric monitoring?
Sun or another from of light
TIC operations: our eyes work by seeing contrast by objects that are illuminated by either. _______ or. __________.
White
TIC operations in normal temperatures - a victim or FF will appear what color?
Dark
TIC operations with victim or FF in structure fire will appear ?
SCBA bottle
TIC operations for the most prominent feature of a FF is ?
Every Engine, rescue, EMS captain , and BC.
TIC’s are assigned to which apparatus?
All company officers and chief officers in custody of the TIC.
Who are responsible for checking the TIC?
Search and rescue
Fire Attack
Overhaul
HAZMAT
Vehicle accidents
TICs are used for:
Cannot see into a windowless building- need temperature differences
Cannot see under water
Cannot see through windows or glass
Cannot see through highly reflective materials - stainless, steel, mirrors, windows
TIC limitations:
WBGT- Wet bulb globe temperature
PBCFR used which Rehab standard for Heat stress index?
- Air Temperature
- Air Speed
- Humidity
- Radiation - direct sun light
The heat stress index Is made up from ?
Rest
Hydration
Energy nutrition
At least 4 hours
How many of hours of work may be sustained if ________, _________, _________ and hours__________.
- Rest
- Energy nutrition
- Hydration
- Accommodation for weather
- BLS and ALS monitoring
What are the 5 components of REHAB?
RHEBA
- Rest
- Hydration
- Energy nutrition
- BLS and ALS
- Accommodation for weather.
What is the priority order for REHAB?
CORE temperature
What is the most important V/S to stabilize?
50-60% more
What percent is active cooling better than passive cooling?
SBP< 100
Pulse >100 with ANY of the following:
Temp > 101
SBP> 180
DBP>100
SPCO>0
ALS S/S.
What are the medical NO-GO criteria?
20 min X 2 for a total of 40 minutes. After 40 minutes BLS/ALS tx, and transport or referral to OHC
What are the time frames for rehab?
Cardiac arrest and WILL be treated for cyanide exposure
Rehab 6 hours post fire incident is in reference to ?
Carbon monoxide and cyanide exposures
Rehab 24 hours post fire incident refer to as?
Logistics
The rehab unit works under which command branch?
IC
If there is no logistics branch who does the rehab unit report to?
Worked for 45min
Used 2 air bottles consecutively
Rehab chart
Companies should be placed in rehab when ?
Physical labor of > 2 hours
Excessive rotation of companies
Incidents that require defined hourly work periods
Hire rise fires not controlled by a single company
Wildland fires
Hazmat incidents
Confined space incidents
An assistant safety officer may be assigned by the IC for rehab under what incidents?
Working fires and Hazmat incidents their rainbow sensor to the Rehab unit.
The incident safety officer will have the 1st EMS captain on all __________ __________ and _____________ __________provide what to whom?
Near the “Drop Zone” in the WARM zone
Where should the SCBA refill are be located?
Pulse
BP
Temp
Respirations
SP02
SPCO
SPMET
The rehab tracking worksheet has what recorded on them ?
Staging
Where do companies leaving rehab report to?
Permanent medical record.
The unit rehab tracking worksheet becomes part of what?
medical complaint,
obvious injury,
appears in distress
Suggestive of acute illness or injury
Such as: HX, MOI, appearance
Lack of capacity
A patient exists when ?
Greater than minor damage
No restraint used
Air bag deployed
Steering wheel damage
Other occupants have injuries
Appearance and behavior not normal
Motor vehicle accident criteria for a patient?
Unable to get up without assistance
Gets up but does not have capacity
People on the ground are patients when?
The ability to understand the benefits, risks, and alternatives to a proposed tx or intervention.
The definition of “Capacity “ is?
Inability to ambulate is chronic
Public assists are patients when?
Any medical complaint, injury or distress
Suggestive acute injury or illness
Lack of capacity
MVC with more than :
Minor Damage
no restraints
air bags
Steering wheeL
occupant injuries
appearance and behavior not normal
Fall that cannot get up on their own
Public assists with acute ambulatory issues
Summary of a patient is when the following are met?
One that exceeds the capabilities of the first arriving units?
Definition of an MCI?
1- 1-10
2-11-20
3.21-100
4.101-1000
5.greater than 1000.
MCI levels are what numbers?
CBRNE
Shootings
MVC’s
Plane crashes
Collapse
MCI types are classified as:
Levels 1 and 2
Name, DOB, phone number and brief narrative are required for which levels of an MCI?
3 or above
METTAG number, basic information and tx information are required for what level MCI?
Treatment
Transport
Triage
Staging
Rehab
Hazard mitigation
Command structure assignments for an MCI may include what?
FOO
Who maintains the list of resources that may be beneficial in an MCI?
Establish Command
360
Establish exclusion zone
Declare LEVEL and TYPE MCI
Initial triage
Assign incoming units based on LIPE
Additional resources
Staging officer
The first arriving unit responsibilities to an MCI are what ?
LEVEL and TYPE
When declaring an MCI what 2 things must be included?
- Request LE
- Provide physical security
- Exclusion zone
Safety officer responsibility for an MCI are to do 3 things:
Support 81
Rescues in staging
Inventory specialist
Additional backboards can be requested from who?
Number of patients
Patient categories
Additional resources needed.
During an MCI command needs to be updated with what information?
Patient METTAG ID
Destination hospital
Transport unit number
The MCI transport log has what information on it?
Level 3 or higher
An “After Action Review” is required for what level MCI?
Family members
Friends
Physician
EMS captain
Medical director
With refusals, who may help convince a patient?
Exhaust all reasonable efforts have been exhausted
Inform the patient that if at any time they change mind or condition deteriorates/ changes they should call 911
In order to sign a refusal for transport Fire rescue personnel SHALL?
Suspected medical conditions that are likely to be incapacitated from intoxication or other medical conditionsl
What patients my be examined, treated, or transported without their consent?
>18 yrs old
AAOx4
Clinically sober
Hypoxia< 94 on room air
COPD < 90
Syncope
Head injury w/ LOC
>100.5
Sever pain
Hypotension
Stroke
Adult who can refuse treatment or transport criteria?
Parent or legal guardian
<18 yrs old if Married
emancipation
military
Parent or guardian by phone w/ person on scene willing to sign
Minors refusal criteria?
Minor to be transported to the appropriate emergency department
If a parent is consenting by phone to not have minor treated or transported and no one can sign the refusal form what happens?
Only if the condition if the condition is related to the pregnancy. If not, then no refusal. Ie. Broken leg.
Pregnant minors can refuse transport only for?
Baseline, Levels, Food, Adult, oral
Regained baseline mental status
Blood sugar has returned to normal levels
Immediate access to food
A competent adult is present and willing to assume care
Meets criteria to for a general refusal.
Not taking oral hypoglycemic medications
Diabetics can refuse transport if ALL the following are met?
Glipizide
Glyburide
Glimperide
What are the oral hypoglycemic medications?
Visual exam
Mental status
General appearance
Work of breathing
Circulation to skin
If a parent or guardian refuses a physical exam what must be documented?
Refusal can result in death or disability
They were AAOx4- clinically sober w/ no life or potential life threatening conditions
Have the capacity to refuse
What shall be documented in the pcr for refusals of treatment?
Death Disablity, AAOx4, Clinically sober, impaired judgement, capacity, assessment, exam, 2 set v/s.
Not being transported may result in death or disability
AAOx4- clinically sober, with no life or potential life threatening conditions to impair judgment
Capacity
Patient assessment
Physical exam
2 sets of V/S
What shall be documented for refusals of Transport?
Refusals:
Adults
Minors
Pregnancy
Diabetics
Treatment refusal:
Death or disability
AAOx4 w/ no life or potential life threatening condition to impair judgment
Have Capacity
Transport refusal:
Death or disability
AAOx4 w/ no life or potential life threatening condition to impair judgment
Have capacity
Patent assessment
Physical exam
2 sets of V/S
Meet all previous criteria for refusal
Refusal breakdown chart?
Cardiac or respiratory arrest
Succumbing to a disease process of a terminal illness
A DNRO applies to who?
Artificial respiration
BVM
ET tube
Supraglottic A/W
Chest compressions
Defibrillation
The following SHALL NEVER be performed on patients with a DNRO?
Signed by the competent patient or patients representative
Signed by the licensed Florida physician
Be on original canary yellow or copied on similar colored paper.
A valid DNRO shall be:
Surrogate
Proxy
court order
Power of attorney
The DNRO identification device must be signed by who if the patient cannot provide consent?
Drivers license
Other photo identification
Witness in the presence of the patient
What are acceptable forms of ID for DNRO
Patient
Surrogate
Proxy
Court order
Power of attorney
Who can revoke a DNRO?
By writing
Physical destruction
Failure to produce
Orally expressing a contrary intent
How can a DNRO be revoked?
Law enforcement
Or CARES team.
For termination of resuscitation efforts who does the scene get turned over to?
When no suspicion of a crime scene
When can a body be covered with a sheet?
EKG strip to PCR
ETCO2 to PCR for advanced airway placement
What other documentation is needed post resuscitation termination of efforts?
Ensure joint command and communications from FR and LE to minimize the risk and maximize safety for all response personnel.
What is the primary goal with an active shooter event?
Active Shooter Hostile Event Response- Mass casualty incident
What does ASHER/ MCI stand for?
Law Enforcement
Who has the ultimate responsibility for an ASHER/MCI (Active shooter hostile event response)?
Fire and medical decisions
What is the main role in an ASHER/MCI for Fire Rescue?
Threat Supression
Hemorrhage Control
Rapid extrication
Assessment
Transport
The THREAT acronym for an ASHER/ MCI stands for what ?
Rescue task Force- Protective element medical
What does RTF-PEM stand for?
3 Fire rescue
4 LE
Who makes up the RTF-PEM Team?
Warm zone only.
Where does the RTF-PEM team operate?
Exclusion
Hot
Warm
Cold
What are the 4 zones for ASHER/MCI?
Risks outweigh the benefits
No FF operations allowed
Definition of the “exclusion zone”?
HIgh risk area
No FF operations allowed
Definition of HOT zone with ASHER/MCI?
Area with “LITTLE” risk
RTF-PEM teams operate
CCP operates here
Definition of “Warm Zone” for ASHER/ MCI?
Area of no risk
Cold “O” no “O”
All support operations
Unified command
Final approach position
Staging
Definition of “Cold Zone” for an ASHER/ MCI?
Fire rescue personnel are requested to or are found in the “HOT or Exclusion “ zones
The IC shall be advised immediately during an ASHER/ MCI when ?
Threat to life
Benefits outweigh risks
RTF-PEM teams are committed by the IC only when ?
NIMS- National incident Management system
Unified command will use which management system?
Code 3 with lights and sirens until unit crosses the LE perimeter./
Response code levels to an ASHER/MCI by Fire Rescue are?
FOO
PIO
Who gets notified of an ASHER/MCI incident?
Establish command
Set LEVEL 2 staging
Set up command at Staging
Establish a unified command with LE.
1st arriving unit responsibilities on a ASHER/MCI?
Level 2 due to unknown amount of victims
What level MCI and why should be set for ASHER/MCI ?
3 TAC channels:
- RTF-PEM
- Medical
- Staging
The IC should request how many TAC channelsfor an ASHER/ MCI
BE the incident safety officer
Ensure the following items are brought to the FUP - Forming up Position
- Available RTF- PEM kits
- Available SKEDS
-Available TQ’s
-Available Mega movers
-Available Trauma rapid response kits
1st Arriving EMS captain on a ASHER/MCI “SHOULD”?
IC and 7a or 8/a and 14a or 15a.
The Fire rescue RTF-PEM supervisor is established by who and works on which TAC channels
Next to the Tactical LE officer in the “Cold Zone”
Where is the fire rescue RTF-PEM group supervisor located?
PAR levels
- going in and out of the warm zone
- going in and out of structures in the warm zone
- Changing floors or levels with in the warm zone
The fire rescue RTF- PEM TEAM leader reports what to the Fire rescue RTF-PEM group supervisor
Total number of victims
Non ambulatory patients
When ready to move
The Fire rescue RTF-PEM TEAM leader reports what to the LE RTF-PEM ?
Forming Up Position where FR and LE meet to form a team
The FUP in a ASHER/MCI is defined as?
Final Approach position- is the outside area where the RTF-PEM team enters the warm zone
What is the FAP definition for ASHER/ MCI?
Defensible area within the warm zone that has no windows and all doorways are covered by LE
Also serves a CCP
What is the Definition of a “Strong Hold” with and ASHER/MCI ?
Immediate and Delayed
What categories do ASHER/ MCI patients get categorized to using TECC? (MCI level)
Casualty Collection Point- in the warm zone where patients are triaged and treated.
the Definition of the CCP in an ASHER/MCI?
Defensive
ASHER/MCI incidents with fire are what mode of operation?
Request of LE
Blood Draws are performed when ?
LE
Who’s responsible for restraining an patient for a blood draw?
Blood draw will not be performed and EMS captain notified.
If a patient is too combative for a blood draw and at the discretion of the PM?
Name and badge number of Officer
Kit sealed Y/ N
PM name
Site
Number of tubes drawn
Date and time
Who sample was turned over to
Documentation of blood draw will include what?
20-25 and orange guide sections 115-116.
What pages in the ERG are used for LPG and Natural gas leaks?
5.3-14%
Natural gas has an LEL of?
2.1-9.5%
Propane has an LEL of?
Natural gas in sizes 18” or greater
What gas type and pipe size does not contain mercaptan?
Along the turnpike
Port of palm beach to West county energy center owned by FPL
Common Natural gas lines that are 24” are found where in PBC?
Commercial 1-4”
Residential 1/2-3/4”
Natural gas lines are what sizes?
Where the 4 gas monitor has LEL readings above 0
On a confirmed LPG/NG leak where does the “Hot zone” start
1 3/4” with a fog nozzle
What is the minimum size hose line and nozzle for confirmed LPG/NG leak?
2 1/2” line at 200gpm
For exterior LPG/NG leaks on above ground containers - they should be cooled with what?
Ground monitor flowing minimum 500gpm
For exterior LPG/NG leaks on above ground containers of 1000lb or greater they should be cooled with what?
Name
Phone number
ID or employee number
Documentation for LPG/NG response on the technician is?
Incidents where combustion processes have taken place
In areas with close proximity to any fire- wildland, structure, vehicle, training, or dumpster
The 5 gas monitor will be used when ?
in the appropriate fire reporting system
All atomspheric monitioring readings are entered where?
wind direction
what greatly influences the atomosphere surrounding the hot zone?
areas of decomposition:
Sewers
Septic tanks
Horse barns
Where shall H2S be monitored ?
12 quarts
daily fluid intake should no exceed how much?
evaporative cooling
Sweating is also known as?
5 degrees
3 degrees
How many degrees are added to WBGT index is wearing
Full PPE and SCBA?
Full PPE without SCBA?
REHAB tracking worksheet becomes part of the medical record and fowarded to the reconds custodian.
if a FF is treated and transported from REHAB what froms are used and sent where?
fire supression
structural stabilization
vehicle stabilization
fuel leak containment
Hazard mitigation during an MCI includes what examples?
Engine
aerial
BC
SPLOPS
who is eqipped with the draeger xam 2500 gas monitor/
BBQ- 20lb
Forklift- 33lb
Commerical -100-420lbs
Residential 500lb
HQ 30K
What are the typical storage tank capacities for NG and LPG?
Natural ventilation
2%
What ventialtion type and what percent must it be for clearing out a structure with gas?
Grounding
Plugging
Cutting
Clampling
Squeezing
Flairing off
What offensice measrues can SPLOPS take with gas emergencies?
Injuries to Employee or reservist that rquires trasnport or are fatally injured.
Vehicle accidents that involve fatalities or injuries that require ALS and are non ambulatory.
The HSO will respond to what investigate what incidents?
“3” IONS
Information
documentation
Notification
analysis
processing and mtigation
The HSO will help in processing what information for an incident?
Unified command has to be in place
What has to be in place before a RTF-PEM team is deployed?
